| NPI | 1255498416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OE006708P) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OET009158) |
| 152W00000X Optometrist (Licence: NJ 27OA0047900) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-12-12 |